CONTENTS OF PAGE

THE GOALS FOR THE PATIENT

PREFACE FOLLWED BY INTRODUCTION TO BOTH OJW PATIENTS WHO CONSENTED TO APPEAR IN THIS FILM

THE OBJECTIVE OF OJW

POST SCRIPT

THE GOALS FOR THE PATIENT

It is my fondest hope that OJW patients will reach the goals they opted to “dedicate passionately”  the number of months they elected when they completed the Informed Consent. If they do, they can expect to lose 1.5-2 pounds each week, and perhaps even more if  they exercise.

Keep in mind that above all your goal is to modify your eating behavior forever. In the best of all possible worlds you achieve your weight goals and never regain the weight. In other cases you may achieve the weight loss you desire and then regain some or all of it back, and in the worst case gain even more than when you began your weight loss program. 

 For some losing weight control is an on again–off again lifetime process because the problem lies in some deeply rooted psychological process underlying the need to overeat. It is my fondest hope that OJW will lead you to the brink of discovery of the underlying causes of the desire to eat to excess.

PREFACE:
OJW for weight loss  is a treatment modality for a  serious "social, psychological and physiological" problem that can help some people to get a start on treating a problem with potentially grave consequences. Obesity is legion and epidemic and recognized as a precursor to a host of serious illnesses. I am exploring the "orthodontic" approach to help alleviate this epidemic in those cases where it may be applicable to carefully selected individuals.

I think dental professionals can deliver this service with compassion and intelligence. My experience to date is that it is safe, and reasonably effective when performed with proper protocols that are presented herein.  Moreover, it has applications in the customary practice of dentistry.

DR. TED CONTINUES ON:

TODAY I AM GOING TO PRESENT TWO PATIENTS ON WHOM I AM GOING TO PLACE AN ORTHODONTIC JAW WIRING APPLIANCE FOR WEIGHT CONTROL IN COMPULSIVE OVEREATING. 

YOU WILL MEET RAY MCDOWELL AND ERICA SMITH WHOS BMI'S ARE 45 AND 29 RESPECTIVELY. THESE BMI’S WOULD PUT THEM IN CATEGORIES CALLED “MORBIDLY” OBESE AND OVERWEIGHT.  NEITHER FIT INTO TH E CATEGORY CALLED “OBESE” REPRESENTING BY A BMI OF BETWEEN 30 AND 38.

BY AND LARGE THE TYPICAL PATIENT WHO REACH ME ARE SIMPLY “OBESE” I.E THEIR BMI LIES BETWEEN 3O AND 38.

RAY'S A 6'1" CABINET MAKER FROM TEXAS AND HIS GOAL WEIGHT IS 200 POUNDS.AND HE INTENDS TO STAY IN OJW UNTIL HE REACHES HIS GOAL. GIVEN WEIGHT LOSS OF 2 POUNDS EACH WEEK   HIS GOAL COULD BE REACHED IN ABOUT 18 MONTHS OF DEDICATION TO OJW.  I HAVE ELECTED TO DO FOR THE FIRST TIME AN OJW USING 3M-UNITKEK’S SMARTCLIP BRACES (Show demo model).

ERICA WILL HAVE THE MORE TYPICAL OJW DEVICE. I WILL USE CLEAR BRACES ON THE TWO UPPER FRONT CANINES (PERHAPS THE LOWER TWO FRONT AS WELL.) I WILL WIRE USING THE “THROUGH” THE VERTICAL PASSAGE OF THE BRACKET (show demo model).

ERICA IS A 5'5" A SPEECH PATHOLOGIST AND SMALL BUSINESS OWNER FROM CONNECTICUT, WHOSE GOAL WEIGHT IS 130 IT WILL TAKE HER LESS THAN 5 MONTHS TO REACH HER GOAL IN OJW.

PLEASE PAY ATTENTION TO HOW I TEACH RAY TO WIRE HIMSELF. ERICA WILL BE RETURNING TO THE OFFICE TO BE REWIRED AND CONSEQUENTLY HAS INDICATED THAT SHE DOES NOT NEED TO LEARN TO REWIRE HERSELF.

WHAT IS COMMON TO BOTH IS THAT EACH HAVE PROVIDED ME WITH MEDICAL CLEARANCE FROM THEIR PHYSICIANS TO BEGIN A LIQUID DIET. EACH UNDERSTANDS THAT I WILL BE RESPONSIBLE FOR HELPING THEM MAINTAIN THE HEALTH OF THEIR TEETH, GUMS AND JAW JOINTS, BUT THAT THEY ALONE ARE RESPONSIBLE FOR THEIR WEIGHT LOSS.

YOU CAN SEE THAT NO TWO PATIENTS COULD BE MORE DIFFERENT THAN THESE.. COME ALONG WITH ME AND I'LL DEMONSTRATE HOW I DO OJW.

  THE OBJECTIVE OF OJW
 The object of OJW is to limit the apartness of the jaws i.e. to suspend the mandible (lower jaw) from the upper with very soft but durable wire at a distance of about 2-4 mm, the position being a little less than the position your jaw is in right now as you reading this note.  This position in dentistry is very close to the position we call the "physiologic rest position" of the mandible ... when a patient is wired in such a position the mandible is free to move forward, right and left and open and closed about 2-4 mm... Just enough to talk reasonably well and get sufficient jaw joint exercise to prevent the joint from stiffening over a 6-9 month treatment period.

 POST SCRIPT

I am confident that in time OJW will become a service that members of the dental community provide with pride and pleasure in their own communities. I have no doubt that there will never cease to be members of the dental and medical community who look upon OJW with a jaundiced eye.   I say offer the service, choose your patients carefully, do the OJW methodically and be responsive to patients needs.

Most of the compulsively overweight will applaud your efforts to help them and they will not hold it against you if they regain the weight. They do expect you would-be providers to see to it that no harm is coming to them because of the OJW.